Satisfaction Questionnaire

Questionnaire for User interaction Satisfaction (QUIS)

Directions- Please circle the number that most appropriately reflect your impressions about using the Web Survey.

Terrible Wonderful

1. Overall reaction to the Web Survey: 1 2 3 4 5 6 7 8 9 N/A

Illogical Logical

2. Screen Layouts: 1 2 3 4 5 6 7 8 9 N/A

Inconsistent Consistent

3. Use of terminology throughout the survey: 1 2 3 4 5 6 7 8 9 N/A

Inadequate Adequate

4. Instructions displayed on the screens: 1 2 3 4 5 6 7 8 9 N/A

Confusing Clear

5. Questions displayed on the screens: 1 2 3 4 5 6 7 8 9 N/A

Never Always

6. Questions can be answered in a- 1 2 3 4 5 6 7 8 9 N/A

straight forward manner:

Confusing Clear

7. Organization of questions, instructions - 1 2 3 4 5 6 7 8 9 N/A

and response categories in survey:

Difficult Easy

8. Forward navigation: 1 2 3 4 5 6 7 8 9 N/A

Difficult Easy

9. Overall experience of completing- 1 2 3 4 5 6 7 8 9 N/A

survey:

Difficult Easy

10. Correcting your mistakes: 1 2 3 4 5 6 7 8 9 N/A

11. Reading Text

Extremely Somewhat Borderline Somewhat Extremely N/A

Difficult Difficult Easy Easy

1 2 3 4 5

12. Typing text

Extremely Somewhat Borderline Somewhat Extremely N/A

Difficult Difficult Easy Easy

1 2 3 4 5

13. Clicking Links/Radio Buttons

Extremely Somewhat Borderline Somewhat Extremely N/A

Difficult Difficult Easy Easy

1 2 3 4 5

14. Zooming in or Out

Extremely Somewhat Borderline Somewhat Extremely N/A

Difficult Difficult Easy Easy

1 2 3 4 5

Additional Comments:

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